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1891122156
TARA MARIE PERNO
FORT MYERS, FL
NPI
1891122156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: FL rn9307140)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
-- TARA MARIE PERNO rn
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-332-6989
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Mailing Address
-- TARA MARIE PERNO rn
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-332-6989
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